Hemorrhoidectomy- nursing diagnosis
Fibromyalgia - An Optimistic but Realistic Support Group
2009.04.18 10:29 LisaHellen Fibromyalgia - An Optimistic but Realistic Support Group
An optimistic but realistic support group.
2012.02.06 07:43 khal_ Oncology: medicine and science
A subreddit for the discussion of cancer medicine and cancer biology
2015.02.16 22:03 Forlurn News pertaining to urine.
Show us your samples!
2024.05.14 11:05 Feeling-Present2945 Kesimpta and JC
Hi everyone. I'm newly diagnosed (under 3 weeks). I had bloods done on the day of diagnosis to rule out a number of possible underlying viruses. I was led to believe that it's dangerous to be on DMTs if you have the JC virus. The MS nurse rang me yesterday to say I'm positive for JC, but that they still want to start me on Kesimpta. She said there are no known cases of fatalities, but that doesn't rule them out. I'm a bit scared, and don't know what to do. Are any of you on Kesimpta with the JC?
submitted by Feeling-Present2945 to MultipleSclerosis [link] [comments]
2024.05.14 10:11 Cool-Ad5767 Probation
So I was charged with a dui in 08/2019..less safe and drugs in system. 1ST DUI IN GA COVID CAME Pushed courts back 2020 Sept. I went to court and guilty.completed most court ordered processes. Ended up in emergency room got out weeks later still on schedule for probate. Ended up on my deathbed..meningitis, aids,septic..at first the nurses was faxing I was under Dr. Care..as my situation wosened..switch from hospitals to personal care homes..communication with the whole court stopped..I was evicted in hospital so I never went back home car was picked up 90 lbs and losing the fight. Got better...started to improve,learned to stand and walk..was released nov.2022..with recovery until this day..I know nothing ,I feel violated but I fell off the earth for two years so we haven't communicated.Now that I live well with my hiv I still need recovery ,constant dr appointments..The courts and I still haven't settled..but of course no new arrests or charges,I was able to complete the last court ordered process after release from hospital...I always felt the corruption they can do anything to me,but I can produce overwhelming amounts of paperwork,diagnosis everything they need.
submitted by Cool-Ad5767 to probation [link] [comments]
2024.05.14 07:45 MELONBURBSS Graduating without my parents by my side.
I need someone to hear me please.
I feel like I’ve failed my parents. I feel like a failure. I barely went to school this year, completed the bare minimum to graduate. And yet here I am. Preparing to stand next to everyone else who tried. Who deserves their diploma.
My dad died in December of 2023. From those of you who have been on this subreddit long enough you’ll recognize my story. Shorty after, my mom was diagnosed with terminal brain cancer, and has been in a nursing home slowly declining since February. I see her often. But everytime it’s like a stab to the gut. Seeing my mom in this much pain. So out of it, barely speaking a word. Only 47. It breaks my heart. Nobody deserves cancer. But my mom especially. Because she is the most selfless, brave, kind, loving woman I have ever met. She gave up so much in her life and never complained. Went through cancer 3 times. While my father made it all about himself. Worked her butt off for years, being basically the only income in my household while my dad spiraled into depression and alcoholism.
Don’t get it twisted. I’d do anything for my father to come back. I miss him everyday and love him dearly. But that doesn’t excuse the pain he caused me and my family when he was drunk.
Anyways I’m getting off topic.
I was always the prodigy of the family. Taking college classes in 8th grade. All A’s etc*. When my dad died, and my mom got sick. I didn’t go back to school for months. So stuck in grief, and PTSD, and Depression. I didn’t leave my room for weeks, only to eat and go to the bathroom. Eventually, I had to go back. And I almost didn’t graduate. As I rightfully shouldn’t have. But, I had done all my work while gone. My GPA is a 3.4. So the school, thankfully, is letting me walk.
Despite this. I know I don’t deserve it. I’m not the success story they wanted. “Girl graduates after dad’s death and mom’s cancer diagnosis with honors”.
I’m not a success at all.
I don’t have any plans for my future. My dad’s gone, my mom’s dying. I haven’t told anyone the date I graduate. Haven’t set up a party. I don’t deserve their support. I don’t deserve anything.
I’m so lonely. I miss my dad. I wish my mom could see me walk. I wish they were the ones planning my party. I wish they were the ones sending out announcements. I’m not proud of myself. And I feel like they shouldn’t be either.
I’m usually good with words. But when it comes to this. this ugly feeling. I don’t know how to speak it.
Here’s something I wrote about grief. Or how I’ve experienced it everyday these past months. Maybe someone will understand it too.
“ Grief is one of those things that makes sense when you haven't experienced it. You think it's gonna be sudden. Like a cool bucket of water dumped over your head on a hot day.
A gasp of sudden breath, to make sure you're not drowning in it. In reality, it's not the water you should be dreading. That's the easy part. The shock.
It's the sun.
There's no sunscreen for grief. No way to stop it, to make it hurt less. You can run from it sure, enjoy the day.
But in the end, you're still sunburnt.”
I apologize if this makes no sense. I got sun poisoning last week and am sick af.
submitted by MELONBURBSS to CancerFamilySupport [link] [comments]
I feel like I’ve failed my parents. I feel like a failure. I barely went to school this year, completed the bare minimum to graduate. And yet here I am. Preparing to stand next to everyone else who tried. Who deserves their diploma.
My dad died in December of 2023. From those of you who have been on this subreddit long enough you’ll recognize my story. Shorty after, my mom was diagnosed with terminal brain cancer, and has been in a nursing home slowly declining since February. I see her often. But everytime it’s like a stab to the gut. Seeing my mom in this much pain. So out of it, barely speaking a word. Only 47. It breaks my heart. Nobody deserves cancer. But my mom especially. Because she is the most selfless, brave, kind, loving woman I have ever met. She gave up so much in her life and never complained. Went through cancer 3 times. While my father made it all about himself. Worked her butt off for years, being basically the only income in my household while my dad spiraled into depression and alcoholism.
Don’t get it twisted. I’d do anything for my father to come back. I miss him everyday and love him dearly. But that doesn’t excuse the pain he caused me and my family when he was drunk.
Anyways I’m getting off topic.
I was always the prodigy of the family. Taking college classes in 8th grade. All A’s etc*. When my dad died, and my mom got sick. I didn’t go back to school for months. So stuck in grief, and PTSD, and Depression. I didn’t leave my room for weeks, only to eat and go to the bathroom. Eventually, I had to go back. And I almost didn’t graduate. As I rightfully shouldn’t have. But, I had done all my work while gone. My GPA is a 3.4. So the school, thankfully, is letting me walk.
Despite this. I know I don’t deserve it. I’m not the success story they wanted. “Girl graduates after dad’s death and mom’s cancer diagnosis with honors”.
I’m not a success at all.
I don’t have any plans for my future. My dad’s gone, my mom’s dying. I haven’t told anyone the date I graduate. Haven’t set up a party. I don’t deserve their support. I don’t deserve anything.
I’m so lonely. I miss my dad. I wish my mom could see me walk. I wish they were the ones planning my party. I wish they were the ones sending out announcements. I’m not proud of myself. And I feel like they shouldn’t be either.
I’m usually good with words. But when it comes to this. this ugly feeling. I don’t know how to speak it.
Here’s something I wrote about grief. Or how I’ve experienced it everyday these past months. Maybe someone will understand it too.
“ Grief is one of those things that makes sense when you haven't experienced it. You think it's gonna be sudden. Like a cool bucket of water dumped over your head on a hot day.
A gasp of sudden breath, to make sure you're not drowning in it. In reality, it's not the water you should be dreading. That's the easy part. The shock.
It's the sun.
There's no sunscreen for grief. No way to stop it, to make it hurt less. You can run from it sure, enjoy the day.
But in the end, you're still sunburnt.”
I apologize if this makes no sense. I got sun poisoning last week and am sick af.
2024.05.14 06:33 CharlieEarle Should I be worried about the auto print out diagnosis?
 | I went to A&E just now as I was concerned about a dizzy spell after a sports injury. I should note at this point I have horrendous medical anxiety especially around the heart. submitted by CharlieEarle to ReadMyECG [link] [comments] So we had to wait a bit to let my heart slow down as I didn’t like having the things put on. Then the nurse ran it off and came back 10 minutes later telling me the doctor said I’m fine and I can go home. No mention of anything wrong or a follow up (apart from its fine being that fast because you’re having a panic attack but otherwise it shouldn’t be that fast at rest, but I knew that anyway. Always happens.) So I I left happy and then when I got home I read the ‘auto diagnosis’ the machine printed out and now I’m more terrified than when I went in. Can anyone tell me what I’m looking at and if I should be concerned. As I said there was no mention of even having an echo follow up to check any of this out. But I can’t help that my brain is broken. Thank you |
2024.05.14 04:45 AnonymousseJC Diagnosis made with no testing
I (49m) had my first trip to the urologist a couple of weeks ago, and I'm left with feelings of doubt as to her diagnosis.
I was referred to this Urologist by my GP after I found a lump on my testicle. The GP ordered an ultrasound and referred me to the urologist. Ultrasound found that the lump was a cyst and the pain in my other testicle was from a swollen, likely infected, epididymis.
The urologist visit was about a week later. The nurse took my vitals, asked if I could provide a urine sample, and I couldn't on the spot, so she said we would just get one before I left. The attending Dr asked a few questions and told me that it's common for men my age to have enlarged prostates, so he was going to prescribe flomax. Likely the swollen epididymis was from incomplete voiding due to the enlarged prostate. I asked if he was going to run any tests, and he said no. I asked if we were going to try to find out why it was enlarged, since it's only really been in the last 8 months that I've had the issue. Again, no; men's prostates just enlarge around this age and so, we just treat the symptom. I pressed again about testing and he said that the only really effective test was one that had a catheter in one end and a balloon in the other and it was rather extreme, since we could simply resolve the issue with the flomax. He did indicate that men should start getting PSA tests at 50, and so I will get one of those in 9 months when I turn 50.
He left, then came back with urologist that I booked the appointment with, and she said that she agreed with his diagnosis and felt nothing further was needed. When she directed me to the clerk for checkout I let her know that I wasn't able to provide a urine sample when I arrived, and still needed to do that. She said there was no need, so we would be doing any of that.
Am I wrong in feeling like maybe a root cause should be searched for? It just feels like I've been diagnosed with a case of being old and shitty.
submitted by AnonymousseJC to AskDocs [link] [comments]
I was referred to this Urologist by my GP after I found a lump on my testicle. The GP ordered an ultrasound and referred me to the urologist. Ultrasound found that the lump was a cyst and the pain in my other testicle was from a swollen, likely infected, epididymis.
The urologist visit was about a week later. The nurse took my vitals, asked if I could provide a urine sample, and I couldn't on the spot, so she said we would just get one before I left. The attending Dr asked a few questions and told me that it's common for men my age to have enlarged prostates, so he was going to prescribe flomax. Likely the swollen epididymis was from incomplete voiding due to the enlarged prostate. I asked if he was going to run any tests, and he said no. I asked if we were going to try to find out why it was enlarged, since it's only really been in the last 8 months that I've had the issue. Again, no; men's prostates just enlarge around this age and so, we just treat the symptom. I pressed again about testing and he said that the only really effective test was one that had a catheter in one end and a balloon in the other and it was rather extreme, since we could simply resolve the issue with the flomax. He did indicate that men should start getting PSA tests at 50, and so I will get one of those in 9 months when I turn 50.
He left, then came back with urologist that I booked the appointment with, and she said that she agreed with his diagnosis and felt nothing further was needed. When she directed me to the clerk for checkout I let her know that I wasn't able to provide a urine sample when I arrived, and still needed to do that. She said there was no need, so we would be doing any of that.
Am I wrong in feeling like maybe a root cause should be searched for? It just feels like I've been diagnosed with a case of being old and shitty.
2024.05.14 03:18 Venusandvines Is it illegal for my boss to cut my hours after I told her about my chronic illness?
CONTEXT: I (17F) work in a nursing home as a waitress. I missed two shifts in a row due to a POTS/Cyclic Vomitting flare. I texted my manager to let her know the situation and to make sure she didn't think I was just skipping work. I told about my diagnosis, how they flare without warning, and that I can provide documentation if need be.
The issue is when the May schedule came out a week ago, I wasn't on it. I know I put in my availability on time but I wasn't scheduled for any shifts. I texted her about it, assuming there was a mistake, but she told me she took me off the schedule because of my disability. She said: "I figured that would be easiest for both of us given the issues you have to deal with."
Does this violate ADA?
submitted by Venusandvines to disability [link] [comments]
The issue is when the May schedule came out a week ago, I wasn't on it. I know I put in my availability on time but I wasn't scheduled for any shifts. I texted her about it, assuming there was a mistake, but she told me she took me off the schedule because of my disability. She said: "I figured that would be easiest for both of us given the issues you have to deal with."
Does this violate ADA?
2024.05.14 01:49 Dirtysoulglass Family member [60s, M] 'went feral' after a cervical fusion operation. He is in an induced coma, on a vent, and each day they try to wake him up with the same extreme aggression and disorientation from him- resulting in re-intubation and sedation/drug induced paralysis.
Patient Info: Male, Caucasian, Mid 60s, Unknown Weight (but probably overweight), Cannabis use, Diabetes (I think), previous spine surgery at base of spine with hardware that has cracked, other medications unknown.
Backstory to current situation: He began having balance issues a couple months ago, and started falling more and more frequently. He then showed occasional confusion, like he didnt quite understand what you said to him but still responded in a related way. The confusion would clear up and he would be fine the majority of the time. Zero neck or arm pain, his lower back where his previous surgery was hurt him a lot due to a broken screw and his knees hurt him (previous knee replacement surgery). Went to the ER one night when family made him due to him being very disoriented and confused. Diagnosed at ER with some sort of issue at the base of his skull that was causing these balance and confusion issues. It was relayed to me as some sort of bone spur or restriction that needed intervention ASAP or the next fall could cause serious damage (if his neck is jolted). Cervical fusion surgery was scheduled pretty quickly fusing 4 vertebrae in his neck.
Current Situation: My Family Member (Male, mid 60s) had a cervical fusion surgery at c3-7 (4 vertebrae) about 1 week ago. First day he woke just fine, seemed happy, wanted to sit up and was doing fine. He is discharged, and over the next days he complains of worsening pain between his shoulders either at the very top of his back/base of neck (second hand info). The pain worsens each day for 3 or so days until he is in such a state that he is grunting, groaning, and banging his fists on things because of the pain. This past Friday he started getting almost violent and seemed incredibly disoriented, delirious, and terrified. He could not talk and did not recognize anyone or seem to understand words spoken to him. He was taken by ambulance to the hospital. Once there, he attacked staff (not like him at all) and seemed like a feral animal or a rabid animal. It took 4 people to get him restrained: and they gave him drugs to paralyze him to keep staff safe, restrained him, and sedated him to the point of being on a ventilator. Blood tests came back with only mild THC as anything out of the ordinary. He likely took his entire 30 day pain killer rx from the surgery (bottle was found empty) within a few days HOWEVER the prescription was weak enough that the doctor remarked that the 'drugs he is currently on is stronger than the whole bottle' so unlikely to be an issue. MRI came back fine, all tests they have run have come back fine (aside from blood tests, MRI, and 24hr seizure monitoring test, I do not know if other tests were preformed or what they would be.)
Each day they try to let the sedation wear off and remove the vent to gauge his reaction, and each day it has been the same nearly immediate intense aggression putting staff at risk. He broke restraints. I was told his eyes rolled back into his head where only white showed during one of these wake up attempts, and that when he does gain alertness he looks absolutely terrified and behaves like a cornered prey. So they just sedate/paralyze/intubate again. At this point the plan is to try waking him each day until he stops being aggressive due to tests not showing a diagnosis. He has been given a feeding tube today.
His surgeon's nurse had been contacted today and she said she does not believe this is related to the surgery and she has never heard of a reaction like this. His current doctors (not affiliated with the surgery) have told his mom and sister that 'they have seen this before' but also 'they don't know what this is', which is odd.
Is there anything else that could be going on, and tests that should be preformed, any idea on why this is happening? I cannot stand the idea of him being in terror over and over waking up to being pulled off a vent then put back on, indefinitely.
I apologize for the vague information, but any ideas would be greatly appreciated. Thank you!
submitted by Dirtysoulglass to AskDocs [link] [comments]
Backstory to current situation: He began having balance issues a couple months ago, and started falling more and more frequently. He then showed occasional confusion, like he didnt quite understand what you said to him but still responded in a related way. The confusion would clear up and he would be fine the majority of the time. Zero neck or arm pain, his lower back where his previous surgery was hurt him a lot due to a broken screw and his knees hurt him (previous knee replacement surgery). Went to the ER one night when family made him due to him being very disoriented and confused. Diagnosed at ER with some sort of issue at the base of his skull that was causing these balance and confusion issues. It was relayed to me as some sort of bone spur or restriction that needed intervention ASAP or the next fall could cause serious damage (if his neck is jolted). Cervical fusion surgery was scheduled pretty quickly fusing 4 vertebrae in his neck.
Current Situation: My Family Member (Male, mid 60s) had a cervical fusion surgery at c3-7 (4 vertebrae) about 1 week ago. First day he woke just fine, seemed happy, wanted to sit up and was doing fine. He is discharged, and over the next days he complains of worsening pain between his shoulders either at the very top of his back/base of neck (second hand info). The pain worsens each day for 3 or so days until he is in such a state that he is grunting, groaning, and banging his fists on things because of the pain. This past Friday he started getting almost violent and seemed incredibly disoriented, delirious, and terrified. He could not talk and did not recognize anyone or seem to understand words spoken to him. He was taken by ambulance to the hospital. Once there, he attacked staff (not like him at all) and seemed like a feral animal or a rabid animal. It took 4 people to get him restrained: and they gave him drugs to paralyze him to keep staff safe, restrained him, and sedated him to the point of being on a ventilator. Blood tests came back with only mild THC as anything out of the ordinary. He likely took his entire 30 day pain killer rx from the surgery (bottle was found empty) within a few days HOWEVER the prescription was weak enough that the doctor remarked that the 'drugs he is currently on is stronger than the whole bottle' so unlikely to be an issue. MRI came back fine, all tests they have run have come back fine (aside from blood tests, MRI, and 24hr seizure monitoring test, I do not know if other tests were preformed or what they would be.)
Each day they try to let the sedation wear off and remove the vent to gauge his reaction, and each day it has been the same nearly immediate intense aggression putting staff at risk. He broke restraints. I was told his eyes rolled back into his head where only white showed during one of these wake up attempts, and that when he does gain alertness he looks absolutely terrified and behaves like a cornered prey. So they just sedate/paralyze/intubate again. At this point the plan is to try waking him each day until he stops being aggressive due to tests not showing a diagnosis. He has been given a feeding tube today.
His surgeon's nurse had been contacted today and she said she does not believe this is related to the surgery and she has never heard of a reaction like this. His current doctors (not affiliated with the surgery) have told his mom and sister that 'they have seen this before' but also 'they don't know what this is', which is odd.
Is there anything else that could be going on, and tests that should be preformed, any idea on why this is happening? I cannot stand the idea of him being in terror over and over waking up to being pulled off a vent then put back on, indefinitely.
I apologize for the vague information, but any ideas would be greatly appreciated. Thank you!
2024.05.14 00:59 Nichard ADHD screening
I'm a 35 year old woman living in England and have struggled with my MH all of my adult life. I do have a diagnosis of depression, anxiety and PTSD and I have long suspected I have ADHD also.
I've been back and forth to the GP more times than I can count and I was always just told I had depression, anxiety and more recently PTSD. So the last time I saw my GP she told me to make an appointment with the practice Mental Health Nurse which I did but before our appointment she sent me an Autism AQ test and an ADHD ASRSv1.1 screening test. At our appointment we went through my answers in more detail and she carried out a full assessment of my mood and we talked a lot about my childhood linking with my current MH situation.
The outcome of the Autism screening was what I expected in that there aren't any obvious traits right now so I scored low risk, however the ADHD one I scored 5/6 points on part A and 6/12 on part B which she said indicates that I "probably" do have ADHD but that the waiting list on the NHS for a formal diagnosis is around 10 years. So she basically said if I wanted the diagnosis in writing and on my health records to push for it or if I was coping okay and managing then she suggested to just keep going as I am but know myself that it's probably ADHD.
I just didn't think one screening test would be enough to diagnose? Am I wrong?
submitted by Nichard to ADHDUK [link] [comments]
I've been back and forth to the GP more times than I can count and I was always just told I had depression, anxiety and more recently PTSD. So the last time I saw my GP she told me to make an appointment with the practice Mental Health Nurse which I did but before our appointment she sent me an Autism AQ test and an ADHD ASRSv1.1 screening test. At our appointment we went through my answers in more detail and she carried out a full assessment of my mood and we talked a lot about my childhood linking with my current MH situation.
The outcome of the Autism screening was what I expected in that there aren't any obvious traits right now so I scored low risk, however the ADHD one I scored 5/6 points on part A and 6/12 on part B which she said indicates that I "probably" do have ADHD but that the waiting list on the NHS for a formal diagnosis is around 10 years. So she basically said if I wanted the diagnosis in writing and on my health records to push for it or if I was coping okay and managing then she suggested to just keep going as I am but know myself that it's probably ADHD.
I just didn't think one screening test would be enough to diagnose? Am I wrong?
2024.05.13 16:51 misanthrope247 Please help! Input on real world health assessment needed
I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
submitted by misanthrope247 to nursing [link] [comments]
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
2024.05.13 16:47 misanthrope247 REAL WORLD purpose of assessing heart sounds every shift?
I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means 😒. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
submitted by misanthrope247 to nursing [link] [comments]
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
2024.05.13 16:45 ToEmpathyAndBeyond Wife’s numbers are scary high
 | Tl;dr: My wife (38F) was diagnosed last week with BG 458 and A1c 13.7, started metformin 500mg extended release 2x/day, got a CGM, no finger sticks, numbers are 200-400 but mostly stayed in 250-350 range over past 40 hours. Looking for support, and wondering if anyone else was diagnosed with numbers this high, how long did it take to get them controlled? submitted by ToEmpathyAndBeyond to diabetes_t2 [link] [comments] My (39F) wife (38F) was diagnosed last week after a routine PCP visit with labs (first PCP visit in many years, but she had a gynecologist/nurse midwife visit in January and we saw a reproductive endocrinologist in March). Next morning the doctor sent this message. In hindsight I think her approach (incremental change, avoid info overload) is smart and probably works well for MOST people. But my wife and I freaked out, started Googling and asking our med pro friends, and immediately made a same-day appt. I left work 3 hours early and we arrived at the dr office 45 mins before the appt (unheard of for us 😂). To the dr’s credit, she got us back to see her right away, quickly shifted gears to share lots of info and options, and took time to listen and answer our questions. She prescribed a CGM (Libre 2) which my wife got on Saturday. (Wife is terrified of needles and doesn’t want to do any finger sticks. I had to apply the CGM for her.) Over the past 40 hours, her numbers have ranged from 200 to 400+. She’s taken 8 doses of metformin 500mg extended release (2x day since Thursday night), and I know it can take 4-5 days to really see effects. I also know that her numbers have likely been this high for months and months, but I’m so worried about long-term damage. 😞 My wife is taking this super seriously and has already overhauled her diet (no added sugar, low carbs, extra protein and healthy fats), and started exercising more. We’ve both dieted before and know the drill. Emotionally she’s devastated by the diagnosis, especially because we were planning to TTC next month, and that’s likely delayed now. She’s motivated to get this controlled ASAP so that having a baby is still an option. And, I know this is a marathon and not a sprint, and I’m worried about burnout. She has a long history of (likely but undiagnosed) PCOS, obesity, binge eating, and avoidance of preventive medical care. (Ironically her weight is currently almost in a healthy range, thanks to 2 years of previously-unexplained weight loss, which no one besides me questioned - if you’re fat, weight loss is always the priority. 😑) I’m doing this with her, both to be supportive and because I’m concerned about my own IR (weight gain in the past year, fasting insulin was 17.5 in March despite having good FG and A1c, and last year my A1c was 5.7 so barely pre-D). I know this is long, so I appreciate anyone who read this far. It’s been very overwhelming the last few days, and I feel like I need a “T2D spouse support group” already. I’m really hoping we can get her numbers down in the next few weeks and without having to add insulin. |
2024.05.13 13:34 SporksOrDie What's up with the garage door?
 | Hi, my name is James Eric Waugh, and I live at the house that has "Edward Snowden was hiding in Yarmouth" plastered on his garage door. submitted by SporksOrDie to DisabledVeteransHelp [link] [comments] https://preview.redd.it/mr4g0ig9970d1.jpg?width=680&format=pjpg&auto=webp&s=49b155667705624893e791ebb68ba4ec0005b707 Why did this start? Well, I asked my Veteran Affairs doctors for a medication that costs $9 a month without insurance in July 2023, it was previously given to me by the Army. My "psychiatrist" at Veteran Affairs had talked to Yarmouth Police in 2015, and since then, Veteran Affairs believed I was stolen valor. Yarmouth Police where abusing a mentally ill person with Munchausen syndrome. One of the Doctors at Veteran Affairs in Hyannis actually used to be that persons doctor at Duffy, and the first thing their new doctor told them was they had Munchausen syndrome. I would have to defend myself from many unfounded accusations with this person, including Rape, which I defended myself Pro Se in a Jury trial and was declared not guilty. The opening statement by "prosecutor" at the Cape and Island District Attorney's Office said that there was "no evidence", her testimony on the stand contradicted the police report, but I didn't bring that up in court as I had no idea how to present evidence , just like the Cape and Island District Attorney's Office. I told Yarmouth Police and a Barnstable Court Clerk that she had Munchausen syndrome, but Yarmouth Police don't care about the truth, they are corrupt, which is probably why the CIA or whatever organization wanted to hide Edward Snowden here. Around this time in 2015 is when I realized I was being monitored by someone on Facebook. I even told my awesome psychologist who retired that someone started watching me during one of our appointments. But I moved on with my life, and would quit drinking in 2017ish after the state legalized Cannabis. My family had to deal with both our parents and two grandparents passing away during this time. July 2023 is when my life started to really turn upside down. I suspect they had me wiretapped for 10 years, since they started monitoring my Facebook. I was hit by a heavy truck in July, and the trucker with car trailer tried to take off, but I thankfully was able to overtake them (they must have weighed 20 tons). Progressive insurance represented both sides of the claim, but they tried to screw me over by finding me at fault instead of the truck that hit me while i was stopped at a red light. The recommended insurance collision shop would hide the face from me that my car was vandalized and was sent to a Falmouth dealership for repairs, and for a period of time, was not in the possession of that shop or dealership. (I would find out later they bugged my car too). After my back started to get worse after the truck accident, i was forced to return to VA healthcare. After submitting my congressional complaint to the Patient Advocate about them refusing to prescribe me anything for anxiety. One of the doctors, AFTER this, got a bigger office, and the one who originally talked to police in 2015ish retired a few weeks after filing my complaint. Unbeknown to me at the time, Veteran Affairs would only accept I was bipolar, to the point where the doctor who got the bigger office would telll me "I don't have PTSD". That really really hurt. I'm already 100% P&T rated at 100% for PTSD by VBA, but they don't care about facts like Yarmouth Police, they only care about what they can get away with. So they prescribe me Lithium and hydroxyzine pamoate. I know I'm not bipolar, and the people who live with me and know me best believe that as well. So I only take the hydroxyzine pamoate. I asked for a supply from Stop and Shop, and when I had the 50mg of hydroxyzine pamoate, i had some really good sleep. I was even able to dream for the first time in years. But that was only a 7 day supply, VA would mail me more, but the VA issued ones despite being labled hydroxyzine pamoate would not be hydroxyzine pamoate. My Medical Records show that it was changed to "unspecified". https://preview.redd.it/l2e2guzu970d1.jpg?width=962&format=pjpg&auto=webp&s=b556d34ef522e4e0dcfcd8f1e14e0825103ae016 After starting the VA issued drugs, i started acting weird. I would become more agitated than normal and would flip off a cop and got a ticket for it. Towards October 2023, i was become very unstable. I accused my friend of being a fed (he is), and left my cell phone at home and started driving to see what would happen. I was followed from Yarmouth Port to Long Island and back. One of the cops following me i told him my story and he said "that'll be hard to prove". I asked them to arrest me, and then drove off and followed. I would eventually come back home after these at least 10 law enforcement undercovers and Amazon Prime trucks where trying to run me off the road and incite an accident. One of them crashed into a NYC bus at a intersection. I day or two later, i would bring out my "VA Killed My Dad" sign and start calling my neighbors Russians and traitors. I would eventually call 911 on myself saying my neighbors where Russian spies, and my house was bugged. The ambulance had 3 people, 1 yarmouth police officer, 1 paramedic, and 1 guy who said he was a fireman then said he wasn't, he was nice. When i was asked about my medication, the YPD officer said Lithium. I had to correct the officer and tell him despite being prescribed lithium, I was only taking the hydroxyzine pamoate. The ambulance would stop and they kicked the officer out of the ambulance. The paramedic was getting texts and probably finding out about my medication change. When I arrived at the ER, the nurse was like a 40 year old hulk hogan. HUGE. I told him he could cut off my arm if he wanted while he was doing tests. Eventually he would say the word "lithium" again. But after that, i could not find any record of the word lithium in my medical records from Cape Cod Hospital. The same hospital that would claim "bipolar" on paper as hard as Veteran Affairs and Duffy soon would. No one would admit on paper i have PTSD, and would only lie and make up bipolar diagnosis. I would try VA issues medications stupidly twice more and despite driving to the ROI and asking for my complete medical records, i can only find out that my hydroxyzine pamoate was changed with something "unspecified". I fired VA healthcare on January 2nd, 2024, after finding out my PTSD therapist wrote down that I told her I went to Bosnia, which is absurd, we weren't even talking about military or trauma yet, and I only was deployed to Iraq. She also said she would continue to write bipolar in her notes no matter what . Even VBA VR&E wouldn't let me go to school unless i agreed on paper i was bipolar. I tried Duffy for 3 months hoping someone would listen to me and help me with Anxiety. My primary gave me hydroxyzine pamoate and i was doing well until I ran out. The Duffy psychiatrist who kept making excuses not to setup an appointment would declare me bipolar as my only diagnosis without ever seeing me. My undercover fed friend tried to convince me not to go to Duffy. They probably have some sort of secret office there, but I'm just guessing. I tried posting about my theories and experiences online, but I would find out I was being censored and gaslight by some agency. They really really want to keep the lie of Edward Snowden going. I gave up on healthcare on Cape Cod, something corrupt and horrible is going on here. I'm hoping I'll be able to get a doctor eventually that'll help me with my PTSD and not make up lies or be corrupted by our government. The government has been screwing me over for years. My garage door is just me hoping to set the record straight. |
2024.05.13 12:08 bestlesbiandm What Can I Do To Improve?
In February I was laid off due to “fund mismanagement” at a non-profit. The old Executive Director “mismanaged funds”, left, and new Executive Director told me in January to file unemployment or find something by the end of February.
Luckily, a mental health hospital was trying to recruit me as a tech, so I took that job even though I’m not super passionate about that level of work right now. I’m trying to get less junior roles to make ends meet better. It was supposed to be a temporary thing, is what I’m getting at. But now I’m four months in, many applications deep, and I think I’ve maybe had an interview a month? I always make it to the last round when I do get an interview, but I never get the job. :/ Help?
submitted by bestlesbiandm to resumes [link] [comments]
Luckily, a mental health hospital was trying to recruit me as a tech, so I took that job even though I’m not super passionate about that level of work right now. I’m trying to get less junior roles to make ends meet better. It was supposed to be a temporary thing, is what I’m getting at. But now I’m four months in, many applications deep, and I think I’ve maybe had an interview a month? I always make it to the last round when I do get an interview, but I never get the job. :/ Help?
2024.05.13 08:53 GayGuerilla telling doctor I may have CPTSD
going to tell my doctor I'm pretty sure I have CPTSD tomorrow. so anxious cause i know it's not recognized in the DSM and worry I'll be invalidated or something idk 😵💫. I also absolutely have childhood trauma and pretty sure i meet the diagnosis criteria but I always have this weird feeling where its like maybe im lying to myself or exaggerating my symptoms or trauma, which makes talking to her about it even harder. how did it go for yall? I go to a free clinic for low income people and my doctor is just the nurse who diagnosed and prescribes me for anxiety / depression so im not sure if she's even qualified for things like cptsd.
submitted by GayGuerilla to CPTSD [link] [comments]
2024.05.13 08:41 hereiam58 Available - Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 13th Edition - Authors - Mary Beth Flynn Makic, Marina Reyna Martinez-Kratz - ISBN - 0323776833 9780323776837 9780323811170 9780323811156 0323811159
I have this book available immediately in original publisher pdf form for $7.
https://drive.google.com/file/d/177caUWckDIAZnwKhjW5gbIPklIzyJNuJ/view?usp=sharing
I offer a book-finding service for $7 for the first book and $3 for each additional book in the same transaction, as long as I have them, so if there are any others, I will do them cheaply if I can find them Upon your agreement that you will pay the $7, I will create a sample that includes the cover up to the first page of chapter 1, and then pages 100, 200, 300, 400, and 500. You can then pay via PayPal, Venmo, Cash App, Wise, or debit/credit card.
Upon payment, I will provide you with the book in a permanent Google Drive folder.
Just contact me if interested.
submitted by hereiam58 to Textbooks_for_CHEAP [link] [comments]
https://drive.google.com/file/d/177caUWckDIAZnwKhjW5gbIPklIzyJNuJ/view?usp=sharing
I offer a book-finding service for $7 for the first book and $3 for each additional book in the same transaction, as long as I have them, so if there are any others, I will do them cheaply if I can find them Upon your agreement that you will pay the $7, I will create a sample that includes the cover up to the first page of chapter 1, and then pages 100, 200, 300, 400, and 500. You can then pay via PayPal, Venmo, Cash App, Wise, or debit/credit card.
Upon payment, I will provide you with the book in a permanent Google Drive folder.
Just contact me if interested.
2024.05.13 07:30 bioleaguesseo Exploring Emerging Technologies in Cardiology at Cardiology Conference 2024
With the development of new, faster, smarter technology, the field of cardiology continues to evolve significantly and attending any Upcoming Cardiology Conference 2024 offers an amazing learning platform to keep up with emerging state-of-the-art technologies in this field.
A Cardiovascular Conference can help you understand and use these trends in your profession. These are great events for researchers, cardiologists, doctors, nurses, medical students, other medical professionals, and cardiovascular device manufacturers who want to stay abreast of the trends.
This blog highlights the top emerging technologies that you will learn about at a good Cardiology Conference in 2024. So, let us get started:
AI diagnosis is a brilliant way to understand and analyse medical images faster and more accurately. This technology is helpful in body scans, ECGs, and thoroughly breaking down minute details of patient data. In addition, AI is extremely helpful in determining the heart's working patterns, allowing doctors to provide the best treatment and medications for their patients.
If you attend an International Cardiology Conference 2024, the role of AI in cardiology is one of the most common topics of discussion. At these events, you can learn from esteemed doctors and world-famous medical professionals from around the globe.
3D Imaging and Printing
Having an exact-size model for patients during heart surgery is critical for its success. The technology provides easy-to-understand details of complicated spatial relationships between the heart and vascular system. This understanding is helpful for cardiac surgeons, cardiac radiologists, and cardiologists to successfully manage complex heart diseases.
By attending Cardiology Conferences 2024 India, you will learn how 3D imaging and printing is shaping the cardiology field. Experts, session speakers, industry professionals, researchers, and influential cardiologists attend the Cardiology Conferences 2024 India.
In addition, Nanotechnology may stimulate angiogenesis from pluripotent or vascular stem cells, resulting in various implications such as wound healing, cardiomyocyte regeneration, and organ recellularization. Similarly, the technology has shown great promise in cardiovascular surgery.
You can learn all about the role of nanotechnology in cardiology health by attending a Cardiology Conference India. These events showcase practical skills and help you gain a clear understanding of nanotechnology in cardiology.
So, telecardiology is a hot topic of discussion at any well-planned International Cardiology Conference. Case studies from cardiologists and researchers will give you exposure to this fastest-emerging cardiovascular technology.
visit now - https://bioleagues.com/cardio-metabolic-conference.php
submitted by bioleaguesseo to bioleagues [link] [comments]
A Cardiovascular Conference can help you understand and use these trends in your profession. These are great events for researchers, cardiologists, doctors, nurses, medical students, other medical professionals, and cardiovascular device manufacturers who want to stay abreast of the trends.
This blog highlights the top emerging technologies that you will learn about at a good Cardiology Conference in 2024. So, let us get started:
Artificial intelligence (AI) for faster and more accurate diagnosis
Many manual devices, especially those equipped with obsolete technology, may fail to diagnose a patient's heart conditions accurately. This is because older technologies had many limitations that required much innovations to help patients.AI diagnosis is a brilliant way to understand and analyse medical images faster and more accurately. This technology is helpful in body scans, ECGs, and thoroughly breaking down minute details of patient data. In addition, AI is extremely helpful in determining the heart's working patterns, allowing doctors to provide the best treatment and medications for their patients.
If you attend an International Cardiology Conference 2024, the role of AI in cardiology is one of the most common topics of discussion. At these events, you can learn from esteemed doctors and world-famous medical professionals from around the globe.
3D Imaging and Printing
Having an exact-size model for patients during heart surgery is critical for its success. The technology provides easy-to-understand details of complicated spatial relationships between the heart and vascular system. This understanding is helpful for cardiac surgeons, cardiac radiologists, and cardiologists to successfully manage complex heart diseases.
By attending Cardiology Conferences 2024 India, you will learn how 3D imaging and printing is shaping the cardiology field. Experts, session speakers, industry professionals, researchers, and influential cardiologists attend the Cardiology Conferences 2024 India.
Nanotechnology for cardiovascular disease
Nanotechnology involves working with devices and materials on a nanoscale level, and nanomedicine refers to the use of nanotechnology in healthcare. Nanomedicines are showing huge potential in various cardiac applications because of their unique properties. In simple words, nanomedicines are made of active pharmaceutical ingredients (API) packaged into nano-sized carriers made of excipients.In addition, Nanotechnology may stimulate angiogenesis from pluripotent or vascular stem cells, resulting in various implications such as wound healing, cardiomyocyte regeneration, and organ recellularization. Similarly, the technology has shown great promise in cardiovascular surgery.
You can learn all about the role of nanotechnology in cardiology health by attending a Cardiology Conference India. These events showcase practical skills and help you gain a clear understanding of nanotechnology in cardiology.
Telecardiology
There are many circumstances where doctors cannot physically check the patient due to remote locations. Telecardiology is a modern medical practice that uses telecommunications for remote diagnosis and treatment of heart patients.So, telecardiology is a hot topic of discussion at any well-planned International Cardiology Conference. Case studies from cardiologists and researchers will give you exposure to this fastest-emerging cardiovascular technology.
Implantable Cardioverter-Defibrillators (ICDs)
ICDs is a small battery-powered device put in the chest by heart surgeons. The device uses remote monitoring, personalised therapy, and algorithms to detect and prevent arrhythmias. You can learn all about this technology at the Upcoming Cardiology conference 2024. The practical exposure from live workshops and seminars can help you try this technology and learn how to use it in Cardiology.Final Words
As you see, attending a Cardiology Conference can help you learn about all the latest emerging trends and technologies in this field. Attending these events not only provide knowledge but also give you endless network opportunities with world’s leading cardiologists and researchers. Attend a Cardiology Conference in 2024 today.visit now - https://bioleagues.com/cardio-metabolic-conference.php
2024.05.13 03:41 No_Treacle6842 Dr. Froilan Paez review - My traumatic experience
Unlike most doctors there must be a reason why this one barely has any websites where he allows his patients to share their experience.
No Google reviews, no Realself, no Yelp...
Well, he is not the kindest person and at least to me I felt like he was really dishonest. I scheduled my rhinoplasty with him almost 1 year ago and the whole process was REALLY NEGATIVE, after waiting all this time to talk about my final results I can now say that they're not favorable, I have SO MUCH trouble breathing and my nose has collapsed from one side...this has truly had a bad impact in my life so that's why I decided to share this post.
After talking to many other professionals I believe I was victim of something called "ghost surgery"
Due to his perfectly looking Instagram page and the large amount of marketing I decided to have my surgery with this doctor, initially I paid 150 USD (and unlike what's advertised) there was not really a real consultation, all they ask you to do is sent pictures and in response all you get is a price estimate.
Obviously I found this really sketchy since I wanted to have a proper diagnosis, but his assistant refused saying that all consultations are done one day before to the surgery, so basically you have to commit and pay for the procedure in advance without ever meeting the doctor priorly.
Probably the first red flag, but unfortunately I got carried away by his social media and all these "influencers/models" that promote him and I scheduled surgery regardless...
Consultation
Since you barely have direct contact with the doctor, all the communications you have are just with his staff and oh boy, they are really good at promising and telling you everything you want to hear so that way you proceed and pay for the procedure (BTW I PAID 13,000 USD).
Reality kicked in once I traveled to Colombia, many more irregularities and things that I didn't expect came up, of course at this point I've already invested 7000 USD (everything you pay in NON REFUNDABLE) so I couldn't really say anything or change my mind.
Consultation with Dr. Paez was quick, It was the first and only time I would see him during the whole process and just like every surgeon he persuades you and tells you everything is going to be okay, although I wanted to address my symptoms by bringing different nasal exams he told me it wasn't necessary.
Day of Surgery
Once at the hospital, they make me sign a few waivers, nurses get me ready and take me to my operating room, at this point i'm expecting to see Dr. Paez at any minute but this would never happen, next thing I know, i'm already in a recovery room.
I'm discharged and they sent me home.
After becoming a little suspicious by the high number of people being operated the same day I start doing some research...and to my surprise I find on on social media videos of ANOTHER DOCTOR doing my nose surgery, all while Dr. Paez wasn't even in my operating room.
This other doctor was there as a student and is someone who I NEVER authorized.
https://twitter.com/joelval24657885/status/1717374925021794444
I posted the footage and proof of surgery on this website, you can clearly see how they run 2 operating rooms at the same time.
So what was their response?
I already did my research, what happened here is considered really unethical but highly profitable for the surgeons, I was used for some type of medical course and this was never disclosed in my informed consent.
At first when I asked for an explanation his staff downplayed everything, saying things like "this other doctor is part of the team" and "he only performed the first half of your surgery".
I looked into this other doctor and he doesn't have any type of affiliation with Dr. Paez since he works as a plastic surgeon in Brazil.
Besides the fact that I now have so many breathing problems, I feel completely cheated, it is nearly impossible to get in contact with Dr. Paez so I flew back to Colombia just to confront him...and unsurprisingly he refused to watch the footage of my surgery and prefered to stayed silent.
Final thoughts.
Since I have evidence of what im talking about I decided to file a formal complaint to the medical board in that country, although they took my case months ago, judging how things run in Colombia I highly doubt any disciplinary action will be taken.
I want to clarify that I am by no way the only person who has raised complaints about this doctor, If you want some more unbiased opinions I advice to do your research on Twitter.
Lastly, for reference I'll attach the odd documents he makes you sign where you surrender many rights if things go wrong. I'm fully aware that any surgery has risks but I find it extremely unfair how they show you this only after you have paid.
https://twitter.com/joelval24657885/status/1789497378849816825
My advice?
Avoid Instagram at ALL COSTS when choosing a surgeon, there is absolutely ZERO transparency on that website.
submitted by No_Treacle6842 to PlasticSurgery [link] [comments]
No Google reviews, no Realself, no Yelp...
Well, he is not the kindest person and at least to me I felt like he was really dishonest. I scheduled my rhinoplasty with him almost 1 year ago and the whole process was REALLY NEGATIVE, after waiting all this time to talk about my final results I can now say that they're not favorable, I have SO MUCH trouble breathing and my nose has collapsed from one side...this has truly had a bad impact in my life so that's why I decided to share this post.
After talking to many other professionals I believe I was victim of something called "ghost surgery"
Due to his perfectly looking Instagram page and the large amount of marketing I decided to have my surgery with this doctor, initially I paid 150 USD (and unlike what's advertised) there was not really a real consultation, all they ask you to do is sent pictures and in response all you get is a price estimate.
Obviously I found this really sketchy since I wanted to have a proper diagnosis, but his assistant refused saying that all consultations are done one day before to the surgery, so basically you have to commit and pay for the procedure in advance without ever meeting the doctor priorly.
Probably the first red flag, but unfortunately I got carried away by his social media and all these "influencers/models" that promote him and I scheduled surgery regardless...
Consultation
Since you barely have direct contact with the doctor, all the communications you have are just with his staff and oh boy, they are really good at promising and telling you everything you want to hear so that way you proceed and pay for the procedure (BTW I PAID 13,000 USD).
Reality kicked in once I traveled to Colombia, many more irregularities and things that I didn't expect came up, of course at this point I've already invested 7000 USD (everything you pay in NON REFUNDABLE) so I couldn't really say anything or change my mind.
Consultation with Dr. Paez was quick, It was the first and only time I would see him during the whole process and just like every surgeon he persuades you and tells you everything is going to be okay, although I wanted to address my symptoms by bringing different nasal exams he told me it wasn't necessary.
Day of Surgery
Once at the hospital, they make me sign a few waivers, nurses get me ready and take me to my operating room, at this point i'm expecting to see Dr. Paez at any minute but this would never happen, next thing I know, i'm already in a recovery room.
I'm discharged and they sent me home.
After becoming a little suspicious by the high number of people being operated the same day I start doing some research...and to my surprise I find on on social media videos of ANOTHER DOCTOR doing my nose surgery, all while Dr. Paez wasn't even in my operating room.
This other doctor was there as a student and is someone who I NEVER authorized.
https://twitter.com/joelval24657885/status/1717374925021794444
I posted the footage and proof of surgery on this website, you can clearly see how they run 2 operating rooms at the same time.
So what was their response?
I already did my research, what happened here is considered really unethical but highly profitable for the surgeons, I was used for some type of medical course and this was never disclosed in my informed consent.
At first when I asked for an explanation his staff downplayed everything, saying things like "this other doctor is part of the team" and "he only performed the first half of your surgery".
I looked into this other doctor and he doesn't have any type of affiliation with Dr. Paez since he works as a plastic surgeon in Brazil.
Besides the fact that I now have so many breathing problems, I feel completely cheated, it is nearly impossible to get in contact with Dr. Paez so I flew back to Colombia just to confront him...and unsurprisingly he refused to watch the footage of my surgery and prefered to stayed silent.
Final thoughts.
Since I have evidence of what im talking about I decided to file a formal complaint to the medical board in that country, although they took my case months ago, judging how things run in Colombia I highly doubt any disciplinary action will be taken.
I want to clarify that I am by no way the only person who has raised complaints about this doctor, If you want some more unbiased opinions I advice to do your research on Twitter.
Lastly, for reference I'll attach the odd documents he makes you sign where you surrender many rights if things go wrong. I'm fully aware that any surgery has risks but I find it extremely unfair how they show you this only after you have paid.
https://twitter.com/joelval24657885/status/1789497378849816825
My advice?
Avoid Instagram at ALL COSTS when choosing a surgeon, there is absolutely ZERO transparency on that website.
2024.05.13 03:30 DrChickon Hospice vs. Home Care
My father-in-law is currently in the hospital following a colostomy surgery. We believe he is in the final months of his life due to his diagnosis and progress.
Following the surgery, we were told he would need home health and they would order that. Then they said he would need 24x7 nursing care at home and a family member living with him and asked when that would be in place so he could be discharged. Well, no one was prepared for that- he lives alone and who can afford 24x7 nursing care? (Spoiler- we can’t.)
After much research and negotiation with his insurance, he is now being released to rehab. I was told he could have hospice visit him at rehab, but then another person said that if he is on hospice, he can’t have rehab. She also said that if he’s one hospice, he can’t have home health. She said home health is to help him recuperate and hospice is comfort care and you can’t have both.
I wanted to know- so if his wound from this surgery gets infected, he won’t have home health to help with wound care? And she said no, hospice would give him pain meds and make him comfortable while he dies. He decided to die on hospice from untreatable cancer- not easily preventable things like infections.
I guess I don’t understand- does hospice really just let every health condition go untreated and just give people pain meds until they die?
submitted by DrChickon to CancerCaregivers [link] [comments]
Following the surgery, we were told he would need home health and they would order that. Then they said he would need 24x7 nursing care at home and a family member living with him and asked when that would be in place so he could be discharged. Well, no one was prepared for that- he lives alone and who can afford 24x7 nursing care? (Spoiler- we can’t.)
After much research and negotiation with his insurance, he is now being released to rehab. I was told he could have hospice visit him at rehab, but then another person said that if he is on hospice, he can’t have rehab. She also said that if he’s one hospice, he can’t have home health. She said home health is to help him recuperate and hospice is comfort care and you can’t have both.
I wanted to know- so if his wound from this surgery gets infected, he won’t have home health to help with wound care? And she said no, hospice would give him pain meds and make him comfortable while he dies. He decided to die on hospice from untreatable cancer- not easily preventable things like infections.
I guess I don’t understand- does hospice really just let every health condition go untreated and just give people pain meds until they die?
2024.05.13 03:12 Nyc12331 3 month review of rare cancer
Hello Reddit i am a 36 year old endometrial cancer patient. I am stage 4 like most people that have had the pleasure of dealing with this. I have a Carcinosarcoma. Both a carcinoma and sarcoma! How fun! This diagnosis is so me, very unique lol I constantly have shit happening and I’ve learned to laugh my way through life as a cope.
Got diagnosed- my boyfriend freaked out and I was just a stoic weirdo because I’m emotionally stunted 3/10
Waited mad long to start treatment #healthcareinamerica 2/10
Started chemo Nurses are SO nice at the infusion center, have to be there for 9-10 hours. Neuropathy,bone pain, nausea SUCK but being cold all the time is the WORST. Keeps me from doing a lot. Kills my cancer maybe? We don’t know but it’s not looking good! 6/10
Anxiety sets in every time I’m about to get new labs/before my next infusion 1/10
Listening to people tell me I need to eat plant-based to cure my cancer 0/10
Chemo brain is keeping me from remembering everything else I wanted to bitch about
Cancer-while it has definitely changed me into a more patient, grateful person really is so whack. The gene mutation I was born with that makes me prone to cancer sucks and the fact that I might die before I have a chance to really live my life is just unfair.
Solid -2/10 fuck you cancer
Okay I’m done feeling bad for myself
submitted by Nyc12331 to cancer [link] [comments]
Got diagnosed- my boyfriend freaked out and I was just a stoic weirdo because I’m emotionally stunted 3/10
Waited mad long to start treatment #healthcareinamerica 2/10
Started chemo Nurses are SO nice at the infusion center, have to be there for 9-10 hours. Neuropathy,bone pain, nausea SUCK but being cold all the time is the WORST. Keeps me from doing a lot. Kills my cancer maybe? We don’t know but it’s not looking good! 6/10
Anxiety sets in every time I’m about to get new labs/before my next infusion 1/10
Listening to people tell me I need to eat plant-based to cure my cancer 0/10
Chemo brain is keeping me from remembering everything else I wanted to bitch about
Cancer-while it has definitely changed me into a more patient, grateful person really is so whack. The gene mutation I was born with that makes me prone to cancer sucks and the fact that I might die before I have a chance to really live my life is just unfair.
Solid -2/10 fuck you cancer
Okay I’m done feeling bad for myself
2024.05.12 22:22 eliteember25 Unsure if HSV (+) 1.5 years out. Any advice?
Had a possible exposure from a supposedly negative person. However, the same week of initial redness around the skin, I ingested a soy milk that I am very mildly allergic to (usually itchy throat, puffy lips, etc.), along with eating apples which I am also very mildly allergic to. This all while I was doing a indoor tournament in a hot uniform with tight facial protective gear. So lots of factors.
I met an online nurse practitioner and she diagnosed with contact dermatitis even after me mentioning that an oral exposure was possible along with showing something between a rash/blister (lacked pain though). I fully recognize the diagnosis, but I am currently considering getting in more relationships and it's always nagged me that I never felt fully comfortable with the diagnosis. Ironically, I'm planning on entering medicine and research with a focus on infectious diseases, so I really don't want to give someone something without fair warning.
It's been 1.5 years and never had a recurrent presentation. I was wondering if there were any tests that could identify this condition, and if not how do yall deal with the uncertainty of having vs not having it. Id much prefer just to know what I have rather than never being sure about it. Sorry for the long talk, but it's clearly something that's been dragging me down for a long time.
submitted by eliteember25 to Herpes [link] [comments]
I met an online nurse practitioner and she diagnosed with contact dermatitis even after me mentioning that an oral exposure was possible along with showing something between a rash/blister (lacked pain though). I fully recognize the diagnosis, but I am currently considering getting in more relationships and it's always nagged me that I never felt fully comfortable with the diagnosis. Ironically, I'm planning on entering medicine and research with a focus on infectious diseases, so I really don't want to give someone something without fair warning.
It's been 1.5 years and never had a recurrent presentation. I was wondering if there were any tests that could identify this condition, and if not how do yall deal with the uncertainty of having vs not having it. Id much prefer just to know what I have rather than never being sure about it. Sorry for the long talk, but it's clearly something that's been dragging me down for a long time.
2024.05.12 20:42 s0zza Infliximab question (UK based)
I started on infliximab infusions in late Jan/early Feb of 2024 after being hospitalised from a flare up.
On Wednesday 8th of May i had my first infusion after an 8 week period since my last dose. It was all going well but at around 5-6 weeks i noticed smaller symptoms related to stomach pain, bloating, and slightly looser stools. By weeks 7-8 it had worsened with added symptoms of needing the loo 10 minutes after eating, diarrhoea, and blood in stools. I was about a week away from the 8th of May infusion, kept going and thankfully once i got 'topped up' symtpoms cleared by about 90% within just 2 days.
So my question is, has anyone else exprienced a similar time frame of infliximab not working?? I assumed i would have needed to be on it for a long time to suddenly have it not work, not just an 8 week period between the last dose. It seemed so promicing throughout the starting dose infusions and slowly adding more weeks inbetween until we got to 8.
I have an appointment with my IBD nurse Monday (13th) to discuss what to do. Trough stool samples and blood tests were done just before the infusion as well so hopefully they have the results. I am aware of other treament methods and we will go more in depth about them then. Previous stool sample in march showed my inflammation had gone up from 138 to 477 so i'm expecting the trough results to be higher.
This is the 4th treatment in around 2 years since diagnosis that i've tried now. So as you can imagine i'm losing more and more hope and trust every time one stops working.
TIA
submitted by s0zza to CrohnsDisease [link] [comments]
On Wednesday 8th of May i had my first infusion after an 8 week period since my last dose. It was all going well but at around 5-6 weeks i noticed smaller symptoms related to stomach pain, bloating, and slightly looser stools. By weeks 7-8 it had worsened with added symptoms of needing the loo 10 minutes after eating, diarrhoea, and blood in stools. I was about a week away from the 8th of May infusion, kept going and thankfully once i got 'topped up' symtpoms cleared by about 90% within just 2 days.
So my question is, has anyone else exprienced a similar time frame of infliximab not working?? I assumed i would have needed to be on it for a long time to suddenly have it not work, not just an 8 week period between the last dose. It seemed so promicing throughout the starting dose infusions and slowly adding more weeks inbetween until we got to 8.
I have an appointment with my IBD nurse Monday (13th) to discuss what to do. Trough stool samples and blood tests were done just before the infusion as well so hopefully they have the results. I am aware of other treament methods and we will go more in depth about them then. Previous stool sample in march showed my inflammation had gone up from 138 to 477 so i'm expecting the trough results to be higher.
This is the 4th treatment in around 2 years since diagnosis that i've tried now. So as you can imagine i'm losing more and more hope and trust every time one stops working.
TIA
2024.05.12 19:48 Slow-Cause Altered Mental Status 21F
21F No medical hx however 3 months ago something just didn’t feel right, my bloods were checked and my folate was >2.0 so i take folic acid 400mcg a day. I’m a trainee Nurse by profession. (Folate is now 9.0) in Europe.
In the last four months, on and off i’ve been battling with bouts of confusion. Moreso disorientation i should say. I got my bloods rechecked two weeks ago because it got so bad that i was really concerned. But everything was within range. I did not get my Magnesium checked? Some things i’ve done that i can recall:
Left the doctor office without paying. Multiple times putting items in the wrong places, phone in fridge, teabag in sink and spoon in bin. Driving somewhere and completely forgetting where i’m driving too. Putting stuff somewhere and immediately forgetting and going to do the same action immediately again. Shaving one leg and forgetting the other. General Brain fog. There is probably a lot more things that are happening i just feel really off. It’s out of character.
This evening i’m finishing my 13hr shift and i feel it again this brain fog. My Blood sugars are fine, ketones fine. My o2 sats never increase above 97% ? never smoked, vaped anything.
I will say i’m also clumsy since birth, but lately everything is off kilter. I seem to lose my balance even just standing. I’m constantly wobbling or leaning over.
I’m getting concerned as it did clear up last week and now it’s back, there’s a noticeable difference.
As for anyone else noticing a difference. My boyfriend said to me i wasn’t making any sense one of the days i felt it really bad. I got quite upset because at the time it made sense to me. When i feel slightly more disoriented then usual, without prompting my mom usually says i look flushed in my face.
Any advice? or just a quick diagnosis of hypochondria maybe !!!
submitted by Slow-Cause to AskDocs [link] [comments]
In the last four months, on and off i’ve been battling with bouts of confusion. Moreso disorientation i should say. I got my bloods rechecked two weeks ago because it got so bad that i was really concerned. But everything was within range. I did not get my Magnesium checked? Some things i’ve done that i can recall:
Left the doctor office without paying. Multiple times putting items in the wrong places, phone in fridge, teabag in sink and spoon in bin. Driving somewhere and completely forgetting where i’m driving too. Putting stuff somewhere and immediately forgetting and going to do the same action immediately again. Shaving one leg and forgetting the other. General Brain fog. There is probably a lot more things that are happening i just feel really off. It’s out of character.
This evening i’m finishing my 13hr shift and i feel it again this brain fog. My Blood sugars are fine, ketones fine. My o2 sats never increase above 97% ? never smoked, vaped anything.
I will say i’m also clumsy since birth, but lately everything is off kilter. I seem to lose my balance even just standing. I’m constantly wobbling or leaning over.
I’m getting concerned as it did clear up last week and now it’s back, there’s a noticeable difference.
As for anyone else noticing a difference. My boyfriend said to me i wasn’t making any sense one of the days i felt it really bad. I got quite upset because at the time it made sense to me. When i feel slightly more disoriented then usual, without prompting my mom usually says i look flushed in my face.
Any advice? or just a quick diagnosis of hypochondria maybe !!!